MEDICARE: THE MARY RICE CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1851243935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MARY RICE CENTER LLC

Provider Business Mailing Address
First Line	:	2903 DORR ST STE 7
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3002
Country	:	US
Telephone Number	:	419-535-2411
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 DORR ST STE 7
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-3002
Country	:	US
Telephone Number	:	419-535-2411
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. DEVORE CLARK SR.
Credential	:
Telephone Number	:	567-377-7279

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	02/18/2026

Similar Medicare Providers

1033062641 — TORRENCE ROBERTS
Practice Location Address:

1001 INDIANA AVE
TOLEDO, OH
43607-4084

Practice Phone: 419-244-6722
Practice Fax:

1942153820 — VANESSA SHEARES
Practice Location Address:

2602 NEBRASKA AVE
TOLEDO, OH
43607-3241

Practice Phone: 419-699-3405
Practice Fax:

1699452813 — SPENCER WILHELM
Practice Location Address:

1910 KENSINGTON RD
TOLEDO, OH
43607-1354

Practice Phone: 419-769-0533
Practice Fax:

1457202954 — RICHARD A KOTNIK
Practice Location Address:

905 NEBRASKA AVE
TOLEDO, OH
43607-4222

Practice Phone: 419-841-7701
Practice Fax:

1811863483 — NYZZIAH NUBY-WILLIAMS
Practice Location Address:

905 NEBRASKA AVE
TOLEDO, OH
43607-4222

Practice Phone: 419-841-7701
Practice Fax:

1144707738 — MISTY MICHELLE GERHART
Practice Location Address:

905 NEBRASKA AVE
TOLEDO, OH
43607-4222

Practice Phone: 419-841-7701
Practice Fax:

Directions to “THE MARY RICE CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.